$25,000. there was more than 41, 158,000 given and the public-health foundation there was 258 given in '17 and '18. the next section the report has the donations that we received in '17-'18 and for the sfgh foundation, these are all gifts over $25,000 by the donor name. laguna honda, there was an enkind gift of $1716. the friends of lagoon alon da. these are the gifts over $25,000. the following page those the expenditures that were made in '17-'18 and the difference between what was received in '1s

expended by these organizations in that year is that money may have been received last year but they spent it in '17 and '18. and then the last part of the memo indicates the board members for these three organizations. so if you have any questions, i'm available. >> i'm not receiving any public comment requests for the item. >> thank you. >> commissioners, any questions from the report? otherwise it's before us for acceptance. >> so moved. >> second. >> all those in favor say aye. >> aye. >> all those opposed. we give our thanks to all the foundations that have been working hard to bring additional

funding and we thank all of the donors who are also felt that it was important to donate to the department. thank you. >> yes, in deed. >> thank you. >> commissioners, item 11 is other business. >> you have the calender before you. at your next meeting, the officer elections are scheduled. and everything else is in front of you. >> yes, just to point out, the officer elections will occur at the next meeting asper our rules and regulations. any further additions for either our calender or any other considerations? >> yes. >> the first one that i am interested in and since california had passed the legislations to recognize third gender, in their identification

driver's license and i.d., i think that that would -- we should revisit the whole data questions, how we collect that and how it's retracted in our health record moving forward. it seems like another monkey wrench but it's important for us, the commission to know like what our plan is. >> i noted that, commissioner. >> thank you. >> and so, commissioners, i would also point out that we are considering the possibility of meeting in china town as our off site meeting some time in the summer calender for august the sixth. if there are further suggestions, but we have not met in china town for probably at least a decade and it would seem appropriate at this time to do

that. >> that was a long time ago. so, otherwise, we'll go on to our next item. >> item 12, a report back from the february 26th, 2018 meeting. so the february 26th meeting, took it up the regulatory affairs report and senior report the human resources report and approved privileges for addiction medicine in psychiatry and pediatrics and in our closed session, we reviewed quality and reports and you will all receive the minutes on the jcc. any questions? anyone want to add. if not we'll move on to our next item. >> consideration for

adjournment. >> motion for adjournment is in order. >> so moved. >> and a second. >> second. >> all in favor please say aye. >> aye. >> all those opposed. this meeting is now adjourned. thank you. >> the hon. london breed: how

exciting is it to be here today? i know many of you are wondering why we chose this location of all locations. it's because this location is the backdrop of what will be future homes -- four to be expect, right, sam? >> yeah. >> the hon. london breed: four new opportunities for accessible homes that will be affordable to folks in san francisco. these garages and hundreds of spaces like them sit often empty and under utilized while our city continues to experience a housing crisis that is pushing low-income families out of our cities. this is why in 2014 we took the first step into converting these spaces into much needed housing. we saw some initial success, but as we all know, our bureaucratic system in san

francisco got in the way, and it's often too complex and people find themselves struggling just to get through the initial permit application process, let alone the construction process. since 2014, over the course of around four years, only 377 units were approved. more than 900 units were stuck in limbo because city departments could not agree on how to handle certain key issues. that was more than 900 opportunities for new housing, 900 units stuck and waiting for approval. that is why back in august, i issued an executive directive to clear the backlog of more than 900 units within six months, and to make sure that every application from that day forward was acted upon within four months. and today, i am so happy to

noun announce that we have met that goal. all of the 919 units -- [applause] >> the hon. london breed: all of the 919 units that were stuck in review were acted upon, and that backlog is cleared. of those, 439 units have been permitted, and onver 90% of those projects that were approved, those units that were approved, are subject to rent control. [applause] >> the hon. london breed: that's more units permitted over the last six months than over the entire course of the last three years. that's a big deal. all of the remaining applications were responded to and sent back to the applicants with specific instructions on what they need to do to keep their application moving forward through the review

process. we are now waiting for those to be approved. that process itself has been overhauled so new applications are not subject to that old bureaucracy. we have roundtable sessions where all departments come together to review all applications all at once, and each department added staff members dedicated solely to reviewing and submitting a.d.u. applications. we submitted a simple, straightforward, a.d.u. check list, the first of its kind, to applicants get the information they need to start the process up front so that each department can provide consistent feedback. and we conducted outreach to design professionals and homeowners to inform them about these new changes and encourage them to apply. these reforms have been incredibly successful even in

just our first six months. since august, we have received applications for 206 new units and 49 new units have been built. that is a 72% increase from the 68 building over the course of three years. but we are not stopping there. i am also proposing, as many of you might have heard, which is super duper exciting, the waiver of the department of building inspection permit fees for new a.d.u. applications, saving applicants anywhere between 7,000 and $10,000 in fees to encourage people to come forward and produce more units. [applause] >> the hon. london breed: waiving the fees, streamlining the process. it may sound like the simple thing to do, but it is so challenging sometimes to get

some of the simple things done in san francisco. what this process has shown us is that approving housing does not have to be and should not be a difficult process. we need clear guidelines, a transparent process for projects to either be approved or responded to. and this is why what i have done since taking office has been really about moving the process forward and getting more housing built in san francisco so that people can afford to live here. some of you know -- [applause] >> the hon. london breed: -- that i recently appointed a director for housing delivery whose sole job is to work with various departments to get housing built and to provide input on policies that we need to implement to either cutback on bureaucratic red tape or the things we need to do to get

this important housing built. and many of you know that i'm proposing a charter amendment so that when we try to build 100% affordable housing that fits within the code of our existing policies, that it is done for teachers and affordable housing as a right. no more delays, no more bureaucracy. [applause] >> the hon. london breed: so yes, we are making progress, and six months may seem like maybe a long time to many of you, but six months in bureaucratic time is really fast. and so i just have so many people to thank because doing this really does take a lot of people. we have a number of commissioners that are joining us here today, and i just want to thank the planning department. and i think the planning -- is

myrna here? oh, thank you. the president of the planning commission, myrna melgar is here. thank you for your leadership with the planning department to help make this possible. we have the department of building inspection here, as well, and i want to thank the director for being here -- oh, john rahaim, planning director is here, too. commissioners -- thank you, commissioner mccarthy and thank you, commissioner deborah walker from the department of building inspection for being here, as well. thank you to chief. >> commissioner hayes-white:: - chief joanne hayes-white from the fire department, and fran see covington from the fire commission and joe hardeman

from the fire commission. it takes a village to get this housing built, but this is a first step because we know that there are so many things that we need to do in san francisco to get more housing built and to get it built faster. we are going to be making changes, and it is by any means necessary for the purpose of making sure that we begin the process now to get more housing built so when we think about the next generation of young people growing up in san francisco, and we think about what's going to happen when they become adults, where are they going to live? where are they going to live in the city that they were born and raised in? we have to start now, thinking about the future and providing more housing opportunities is really what's going to change the future and make it possible so that the next generation of san franciscans can afford to live here, and the people who are struggling to live here have real opportunities to live in the communities that they love. and so with that, i just want

to thank each and every one of you and all the amazing people that made this possible. i'm really excited about this. i'm excited that we have shown that government can work, and this is a great day here in san francisco, and with that, i want to introduce serina calho calhoun who is an architect what is one of the people who is a beneficiary of being able to take advantage of this opportunity and get important units built in our city. [applause] >> good morning. my name is serina calhoun, i own and operate a small firm in hayes valley. we by some nature have become experts in the a.d.u. process. since the mayor's executive order six months ago, we have seen a radical change for the

better in the a.d.u. process. we've had 42 new dwelling units that are stuck in the system move smoothly through this process just since here announcement. it's been absolutely incredible. projects that were taking over two years for approval are now being processed and approved in only four months. actually, we submitted two projects at the end of october and they are already approved. all the city departments have joined together to stream line the reviews and most importantly, the reviews are consistent. i no longer have to make six individual recheck appointments with six individual people for one project. i can do it in one shot, and get all their comments together. it's amazing. i'd love to see that apply to a lot of other project types in the city of san francisco. the mayor's office has just done an incredible job, too, of trying to find ideas and asking

us for more ideas to make this process even smoother, and it's such an honor to participate in a process in the city of san francisco. i can't thank her enough. with that, i'm going to turn it over to sam moss with housing [applause] >> mission housing, we've been talking about this for years, and to be able to stand here and take credit for it, it's just amazing. [laughter]. >> mission housing, myself, we believe it's important to do everything that you can. everyone should do everything they can. from single-family homeowners to developers, to look at the

crisis and actually solve it, by adding new units, and that is what we are doing here. it's my hope that san francisco and the bay area and nationwide will follow mission housing's example that we've been tasked to do. it's because of mayor breed's leadership and leadership of our city departments agreeing with our sentiment that we can do so today. i just want to thank everyone for coming, and stay tuned, because better things are on the way. thank you. [applause] >> the hon. london breed: and we also have a tenant who is going to be saying a few words, so dora, you want to come on up and speak? it's okay, if you want.

okay. nice. well, thank you for being here today, and again, these units will be accessible, which is really important for those who are seniors and those with disabilities. in thinking about the future of san francisco, we have to think about all possibilities for housing. and i know that, you know, a couple hundred units may not seem like much, but in the bigger scheme of things, that one unit will make a difference in someone's life, and so we have to make sure in san francisco that we are doing everything we can to capture as many units as we can for the purposes of expanding our housing stock because we know we have a number of challenges, and we know that we need affordable safe spaces for people to live. i'm really excited that we were able to meet and exceed the goal that we set in the directive next year, and there is definitely more to come for

providing housing opportunities for all san franciscans, and i want to thank each and every one of you for being here today. thank you so much. [applause]

>> i am so excited to be here to stand in this waiting room of this beautiful new urgent care center that will serve thousands of patients here at s.f. general. as our population continues to grow, it is more important now, more than ever to make sure our public health facilities are now up-to-date in the latest in technology and programming, but also, resilient and strong, and in the event of a major earthquake, or any other disaster that may come our way. that is why i'm grateful to the voters who passed the 2016 public health and safety bond that funded not only the expansion of the urgent care facility act which served more than 20,000 people in 2018, but also the funding for the

seismically -- for seismically retrofitting this entire building that we are standing in today. one of the key things we are doing with retrofitting this entire building is bringing everyone back under one roof. by recentralizing services into this building, we can improve services and coordination by our staff. this is key to better deliver healthcare to the people of san francisco, we have to be -- we have to do more coordination and be more efficient in that process. it is a major reason why i created the position of director of mental health reform so that we have one person whose job it is to bring everyone together to help coordinate all of the efforts around mental health in the city. when we coordinate, we centralize services, we get better outcomes for the people that we are here to serve. san francisco general has long

been a hub for our safety's disaster response. it has been a real leader, and i have spent days, particularly in this location in the emergency room for those who unfortunately have fell victim in some way to -- somewhere in our city. whether it is during the 1906 earthquake when the hospital serve not only as a place where people could seek treatment for injuries, but also as a place for refuge and shelter or a 1983 when the hospital led the nation by those impacted by the aids epidemic or throughout the years as san francisco general, and the staff, and the incredible people who work here have always been at the forefront of groundbreaking research and cutting edge innovation and in the medical industry. the hospital's values reflect

those of san francisco, inclusion, diversity, and most important, compassion. i know many of you here today are on the front lines of providing that compassionate care for residents, and i want to thank many of the people who work here at san francisco general, every single day, thank you so much for your hard work, and for your patience, and for your compassion in serving so many residents of san francisco. it really means a lot. especially to those who are experiencing homelessness or suffering from mental health or substance use disorder, i have seen firsthand the patient's that you provide in caring for those individuals, and it means a lot. your city supports you in these efforts, and the important work you do every single day, and i am committed to working with the department of public health, our health commissioners, and all of you to tackle the public health issues that we face in our city, and to make it easier for you to

do more. thank you so much to everyone that is here today for this new facility. i can't stop looking at the florist, because i don't know about you, but the walls are white, not yellow. the ceiling even, and the furniture, it is blowing me away , and i'm not always -- are not only happy for the patients that you are serving, i am excited for the people who are working in the facility every day. you deserve the kind of conditions that help you to better do your job, especially under the most challenging of circumstances. at this time, i would like to introduce mr roland pickens. >> thank you. [applause] >> thank you very much, mayor breed for your ongoing support

in making this project, and many others happen here. to the school of medicine, the c.e.o., acting director waggoner, thank you for your support in making this happen. he says change is the only constant in life. this statement highlights the need for all of us to always plan for and be ready for change in every aspect of our lives. i say that because having been a long tenured person here, i have seen the changes that urgent care over the years. when i first started 18 years ago, urgent care was on the sixth floor of the hospital, then it moved to the fourth floor of the hospital, that it moved across the street to building 80, and out is going back home to this one-stop coordinated care spot. so to the staff who have been part of the change over the last 18 years, congratulations, into

the patients who made that journey, they are to be commended. this urgent care center is a vital hub for our san francisco health network. if you are a patient at maxine hall in the western addition, or southeast health centre, when you can't get into your appointment, this is a place you can come for service. so to our medical director, we thank you for your years of service, and look forward to the great work that will go on in this new facility. thank you all. [applause] >> my boss just reminded me, i am going to introduce dr ron, our medical director. >> thank you, roland. hello, everyone, may agree -- mayor breed, distinguished guests, i am glad to welcome all of you to the new adult urgent care center. we are very excited that

starting next week, we can continue to provide quality healthcare now in this state-of-the-art facility where our clinic staff deserve to work , and where the citizens of san francisco deserve to receive the urgent medical care they need. we are grateful to the voters of san francisco who approved the bond measure that made this possible, and in doing so, recognize the value that our public health facilities provide our community. let me take a couple of minutes to share with you more about our clinic, who we are, and what we do, and what it means to move into this new space. the adult arts and care center started in january of 1999 as was mentioned upstairs on the sixth floor. wiring for rooms on the children's health center. last month marked our 20 year anniversary, and throughout these 20 years, the clinic has played a vital role in providing care for patients for urgent, nonemergency medical needs. we offload our emergency department by caring for

patients that don't require emergency level services. we provide urgent medical care for primary care services, and we care for other san franciscans who don't have primary care, don't have insurance, and don't have access to urgent care anywhere else. and for these patients especially, our clinic is a portal of entry into the san francisco health network, where they have access to a range of services to get them healthy, and keep them healthy. for thousands of patients over the last 20 years, the first step to getting primary care was a visit to the adult urgent care center where we met their immediate medical needs and help them get health coverage and establish care and a primary care medical home. it is our of ensuring that our patients get the right care in the right place at the right time. that is crucial to the success of any healthcare system, and that is why we are also taking this opportunity to educate patients about urgent care, and

how it differs from emergency care and primary care. that knowledge gives patients the power to navigate our healthcare system to their advantage so that when they have an urgent medical need, they know the right place to go for care. after the ribbon-cutting, i invite you to stay a bit and take a look around. our beautiful and newly renovated space is larger, has more rooms, it is more centrally located on the hospital campus. this will make the clinic more accessible, efficient, and patient-friendly, and result in a better care experience. finally, i am thankful that our new facility will enhance the hard work of our clinic staff, to every day provide quality urgent health care with a respectful caring attitude, and a compassionate heart. for the last 12 years, i've had the privilege of working side-by-side with these extraordinary colleagues, their perseverance and dedication to our patients continues to inspire me every day to do my best as a physician and a medical director.

in this grand opening celebration, it is a perfect opportunity to express our appreciation for our staff. unfortunately, most of them weren't able to make it because many of them are working right now across the campus. so in closing, i need your help. please join me in showing our appreciation for our staff and the outstanding care they provide our patients every day. let's all give them a big round of applause, so loud, so loud that they will be able to hear it all the way across the campus. [applause] >> all right. i think it is time to cut a ribbon. >> i need some company over here are we ready? their ego. five, four, three, two, one.

[applause] we spoke with people regardless of what they are. that is when you see change. that is a lead vannin advantage. so law enforcement assistance diversion to work with individuals with nonviolent

related of offenses to offer an alternative to an arrest and the county jail. >> we are seeing reduction in drug-related crimes in the pilot area. >> they have done the program for quite a while. they are successful in reducing the going to the county jail. >> this was a state grant that we applied for. the department is the main administrator. it requires we work with multiple agencies. we have a community that includes the da, rapid transit police and san francisco sheriff's department and law enforcement agencies, public defender's office and adult probation to work together to look at the population that ends up in criminal justice and how

they will not end up in jail. >> having partners in the nonprofit world and the public defender are critical to the success. we are beginning to succeed because we have that cooperation. >> agencies with very little connection are brought together at the same table. >> collaboration is good for the department. it gets us all working in the same direction. these are complex issues we are dealing with. >> when you have systems as complicated as police and health and proation and jails and nonprofits it requires people to come to work together so everybody has to put their egos at the door. we have done it very, very well. >> the model of care where police, district attorney, public defenders are

community-based organizations are all involved to worked towards the common goal. nobody wants to see drug users in jail. they want them to get the correct treatment they need. >> we are piloting lead in san francisco. close to civic center along market street, union plaza, powell street and in the mission, 16th and mission. >> our goal in san francisco and in seattle is to work with individuals who are cycling in and out of criminal justice and are falling through the cracks and using this as intervention to address that population and the racial disparity we see. we want to focus on the mission in tender loan district.

>> it goes to the partners that hired case managers to deal directly with the clients. case managers with referrals from the police or city agencies connect with the person to determine what their needs are and how we can best meet those needs. >> i have nobody, no friends, no resources, i am flat-out on my own. i witnessed women getting beat, men getting beat. transgenders getting beat up. i saw people shot, stabbed. >> these are people that have had many visits to the county jail in san francisco or other institutions. we are trying to connect them with the resources they need in the community to break out of that cycle. >> all of the referrals are coming from the law enforcement

agency. >> officers observe an offense. say you are using. it is found out you are in possession of drugs, that constituted a lead eligible defense. >> the officer would talk to the individual about participating in the program instead of being booked into the county jail. >> are you ever heard of the leads program. >> yes. >> are you part of the leads program? do you have a case worker? >> yes, i have a case manager. >> when they have a contact with a possible lead referral, they give us a call. ideally we can meet them at the scene where the ticket is being issued. >> primarily what you are talking to are people under the influence of drugs but they will all be nonviolent. if they were violent they wouldn't qualify for lead. >> you think i am going to get arrested or maybe i will go to jail for something i just did because of the substance abuse

issues i am dealing with. >> they would contact with the outreach worker. >> then glide shows up, you are not going to jail. we can take you. let's meet you where you are without telling you exactly what that is going to look like, let us help you and help you help yourself. >> bring them to the community assessment and services center run by adult probation to have assessment with the department of public health staff to assess the treatment needs. it provides meals, groups, there are things happening that make it an open space they can access. they go through detailed assessment about their needs and how we can meet those needs. >> someone who would have entered the jail system or would have been arrested and book

order the charge is diverted to social services. then from there instead of them going through that system, which hasn't shown itself to be an effective way to deal with people suffering from suable stance abuse issues they can be connected with case management. they can offer services based on their needs as individuals. >> one of the key things is our approach is client centered. hall reduction is based around helping the client and meeting them where they are at in terms of what steps are you ready to take? >> we are not asking individuals to do anything specific at any point in time. it is a program based on whatever it takes and wherever it takes. we are going to them and working with them where they feel most comfortable in the community. >> it opens doors and they get access they wouldn't have had otherwise.

>> supports them on their goals. we are not assigning goals working to come up with a plan what success looks like to them. >> because i have been in the field a lot i can offer different choices and let them decide which one they want to go down and help them on that path. >> it is all on you. we are here to guide you. we are not trying to force you to do what you want to do or change your mind. it is you telling us how you want us to help you. >> it means a lot to the clients to know there is someone creative in the way we can assist them. >> they pick up the phone. it was a blessing to have them when i was on the streets. no matter what situation, what pay phone, cell phone, somebody else's phone by calling them they always answered. >> in office-based setting somebody at the reception desk

and the clinician will not work for this population of drug users on the street. this has been helpful to see the outcome. >> we will pick you up, take you to the appointment, get you food on the way and make sure your needs are taken care of so you are not out in the cold. >> first to push me so i will not be afraid to ask for help with the lead team. >> can we get you to use less and less so you can function and have a normal life, job, place to stay, be a functioning part of the community. it is all part of the home reduction model. you are using less and you are allowed to be a viable member of the society. this is an important question where lead will go from here. looking at the data so far and

seeing the successes and we can build on that and as the department based on that where the investments need to go. >> if it is for five months. >> hopefully as final we will come up with a model that may help with all of the communities in the california. >> i want to go back to school to start my ged and go to community clean. >> it can be somebody scaled out. that is the hope anyway. >> is a huge need in the city. depending on the need and the data we are getting we can definitely see an expansion. >> we all hope, obviously, the program is successful and we can implement it city wide. i think it will save the county millions of dollars in emergency services, police services, prosecuting services. more importantly, it will save lives.

as a society we've basically failed big portion of our population if you think about the basics of food, shelter safety a lot of people don't have any of those i'm mr. cookie can't speak for all the things but i know say, i have ideas how we can address the food issue. >> open the door and walk through that don't just stand looking out. >> as they grew up in in a how would that had access to good food and our parent cooked this is how you feed yours this is not happening in our country this is a huge pleasure i'm david one of the co-founder

so about four year ago we worked with the serviced and got to know the kid one of the things we figured out was that they didn't know how to cook. >> i heard about the cooking school through the larkin academy a. >> their noting no way to feed themselves so they're eating a lot of fast food and i usually eat whatever safeway is near my home a lot of hot food i was excited that i was eating lunch enough instead of what and eat. >> as i was inviting them over teaching them basic ways to fix good food they were so existed. >> particle learning the skills and the food they were really go it it turned into the is charity

foundation i ran into my friend we were talking about this this do you want to run this charity foundations and she said, yes. >> i'm a co-found and executive director for the cooking project our best classes participation for 10 students are monday they're really fun their chief driven classes we have a different guest around the city they're our stand alone cola's we had a series or series still city of attorney's office style of classes our final are night life diners. >> santa barbara shall comes in and helps us show us things and this is one the owners they help

us to socialize and i've been here about a year. >> we want to be sure to serve as many as we can. >> the san francisco cooking school is an amazing amazing partner. >> it is doing that in that space really elevates the space for the kids special for the chief that make it easy for them to come and it really makes the experience pretty special. >> i'm sutro sue set i'm a chief 2, 3, 4 san francisco. >> that's what those classes afford me the opportunity it breakdown the barriers and is this is not scary this is our choice about you many times this is a feel good what it is that you give them is an opportunity you have to make it seem like it's there for them for the taking show them it is their and

they can do that. >> hi, i'm antonio the chief in san francisco. >> the majority of kids at that age in order to get them into food they need to see something simple and the evidence will show and easy to produce i want to make sure that people can do it with a bowl and spoon and burner and one pan. >> i like is the receipts that are simple and not feel like it's a burden to make foods the cohesives show something eased. >> i go for vera toilet so someone can't do it or its way out of their range we only use 6 ingredients i can afford 6 ingredient

what good is showing you them something they can't use but the sovereignties what are you going to do more me you're not successful. >> we made a vegetable stir-fry indicators he'd ginger and onion that is really affordable how to balance it was easy to make the food we present i loved it if i having had access to a kitchen i'd cook more. >> some of us have never had a kitchen not taught how to cookie wasn't taught how to cook. >> i have a great appreciation for programs that teach kids food and cooking it is one of the healthiest positive things

you can communicate to people that are very young. >> the more programs like the cooking project in general that can have a positive impact how our kids eat is really, really important i believe that everybody should venting to utilize the kitchen and meet other kids their age to identify they're not alone and their ways in which to pick yours up and move forward that. >> it is really important to me the opportunity exists and so i do everything in my power to keep it that. >> we'll have our new headquarters in the heart of the tenderloin at taylor and kushlg at the end of this summer 2014 we're really excited. >> a lot of the of the conditions in san francisco they

have in the rest of the country so our goal to 257bd or expand out of the san francisco in los angeles and then after that who know. >> we'd never want to tell people want to do or eat only provide the skills and the tools in case that's something people are 2rrd in doing. >> you can't buy a box of psyche you have to put them in the right vein and direction with the right kids with a right place address time those kids don't have this you have to instill they can do it they're good enough now to finding out figure out and find the future for d

>> good evening. i'm like to welcome everyone to the meeting and turn off your electronic deef electronic devices and please stand nor pledge of aleth -- for the pledge of allegiance. good evening, president her -- hirsh i'd like to take roll call. [roll call] filling in is sarah hawkins. commissioner, have you a